Organization
OLIVER OPTOMETRIC EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOGAN J OLIVER OD (OPTOMETRIST)
(336) 372-4493
Entity
Organization
Contact information
Practice address
18 GRAYSON ST, SPARTA, NC 28675-6006
(336) 372-4493
(336) 372-2035
Mailing address
PO BOX 1119, SPARTA, NC 28675-1119
(336) 372-4493
(336) 372-2035
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2461
NC
Other
Enumeration date
10/10/2016
Last updated
01/17/2017
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